[The clinico-evolutionary and therapeutic aspects in diastatic perforation of the cecum].
We describe five cases of diastatic perforation of cecum due to colonic cancer obstruction with secondary diffuse peritonitis, all in elderly patients with many organics dysfunctions and, most important a late arrival for hospitalisation (over 48 h). The surgical treatment aimed for the perforation and the obstruction has permitted the realization--in emergency--of: cecostomy on site of perforation, with multiple peritoneal drainage; subtotal colectomy with ileosigmoid anastomosis; cecum perforation sutures, with left colostomy, opened per primam; cecostomy on site of perforation with left colostomy, drainage. We underline the severe postoperative evolution, with only one survival be cause of the fast pace evolution of toxico-septic shock by pyostercoral peritonitis due to perforation.
Popa
F
F
Strâmbu
V
V
Constantin
V
V
Bălălău
C
C
Ciocoiu
E
E
Cuibac
A
A
D000368:Aged; D000714:Anastomosis, Surgical; D002429:Cecal Diseases / Q000209:etiology / Q000601:surgery*; D002431:Cecostomy; D012809:Colon, Sigmoid / Q000601:surgery; D003110:Colonic Neoplasms / Q000150:complications / Q000601:surgery; D004630:Emergencies; D006801:Humans; D007082:Ileum / Q000601:surgery; D007416:Intestinal Perforation / Q000209:etiology / Q000601:surgery*; D010538:Peritonitis / Q000209:etiology / Q000601:surgery
Aspecte clinico-evolutive şi terapeutiuce în perforaţia diastazică de cec.